Individual
JASON BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1590 WILLOW CREEK RD, PRESCOTT, AZ 86301-1164
(928) 227-1899
Mailing address
127 BRADSHAW DR APT 201, PRESCOTT, AZ 86303-2414
(928) 713-3061
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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